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Clinical Pathways in Stroke Rehabilitation

Clinical Pathways in Stroke Rehabilitation
Author: Thomas Platz
Publisher: Springer Nature
Total Pages: 284
Release: 2021-01-14
Genre: Medical
ISBN: 3030585050

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This open access book focuses on practical clinical problems that are frequently encountered in stroke rehabilitation. Consequences of diseases, e.g. impairments and activity limitations, are addressed in rehabilitation with the overall goal to reduce disability and promote participation. Based on the available best external evidence, clinical pathways are described for stroke rehabilitation bridging the gap between clinical evidence and clinical decision-making. The clinical pathways answer the questions which rehabilitation treatment options are beneficial to overcome specific impairment constellations and activity limitations and are well acceptable to stroke survivors, as well as when and in which settings to provide rehabilitation over the course of recovery post stroke. Each chapter starts with a description of the clinical problem encountered. This is followed by a systematic, but concise review of the evidence (RCTs, systematic reviews and meta-analyses) that is relevant for clinical decision-making, and comments on assessment, therapy (training, technology, medication), and the use of technical aids as appropriate. Based on these summaries, clinical algorithms / pathways are provided and the main clinical-decision situations are portrayed. The book is invaluable for all neurorehabilitation team members, clinicians, nurses, and therapists in neurology, physical medicine and rehabilitation, and related fields. It is a World Federation for NeuroRehabilitation (WFNR) educational initiative, bridging the gap between the rapidly expanding clinical research in stroke rehabilitation and clinical practice across societies and continents. It can be used for both clinical decision-making for individuals and as well as clinical background knowledge for stroke rehabilitation service development initiatives.


Visual Impairment in Children due to Damage to the Brain

Visual Impairment in Children due to Damage to the Brain
Author: Gordon Dutton
Publisher: John Wiley & Sons
Total Pages: 369
Release: 2010-09-14
Genre: Medical
ISBN: 1898683867

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Clinics in Developmental Medicine No.186 The increased awareness of cerebral visual impairment in children, combined with improved recognition of its wide ranging manifestations, has led to its recognition as the most common cause of visual impairment in children in the developed world. Yet the subject is in its infancy, with very little published to date. Information on this complex topic has been needed by all disciplines working with disabled children for many years. This ambitious book links the work of authors from many of the major research teams in this field, who have made significant contributions to the literature on the subject of cerebral visual impairment and provide a structured amalgam of the viewpoints of different specialists. The book contains some very novel concepts, which will be of great practical value to those who care for children with visual impairment due to brain injury. Summaries of the more specialist chapters as well as clear diagrams and a glossary have been provided to increase the book’s accessibility to a broader readership. This is an exciting and important field, to which this book makes a major contribution.


Rehabilitation of Visual Disorders After Brain Injury

Rehabilitation of Visual Disorders After Brain Injury
Author: Josef Zihl
Publisher: Psychology Press
Total Pages: 202
Release: 2021-05-30
Genre: Medical
ISBN: 1000446204

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Despite a long research tradition in visual neuroscience, the rehabilitation of cerebral visual deficits has, until recently, been neglected. This book is the first to report systematic observations on spontaneous recovery of cerebral visual deficits after acquired brain injury, and the outcome of treating these deficits. The whole range of human visual functions and capacities is covered: visual field, visual acuity and contrast sensitivity, visual adaptation, colour vision, visual space perception, and visual cognition. Additionally, there is a special section devoted to patients with central scotoma. All treatment procedures described are empirically founded.


Visual Selective Attention and Integration Abilities in Normal Children and Children with Early Focal Brain Injury

Visual Selective Attention and Integration Abilities in Normal Children and Children with Early Focal Brain Injury
Author: Catherine Stern
Publisher:
Total Pages: 274
Release: 1996
Genre: Brain-damaged children
ISBN:

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This dissertation aims to specify patterns of visual-spatial processing following lateralized pre- or perinatal brain injury and during normal development. Previous work with young children and adults has shown that damage to the left hemisphere (LHD) leads to deficits in visual segmentation and damage to the right hemisphere (RHD) leads to deficits in visual integration. Study 1 assessed whether this characteristic pattern of deficit persists in a school-aged population of children who sustained pre- or perinatal LHD and RHD. Two response-time tasks tested the spatial processing abilities known to be affected by lateralized brain injury. In the selective attention task, subjects responded to the direction of a single item while ignoring a distractor. In the integration task, subjects judged the similarity of two items. Contrary to an anticipated double dissociation, children with lateralized brain injury demonstrated impairments on both the selective attention and integration tasks. An analysis of each groups' performance suggested that the underlying nature of their deficits on the two tasks was quite different. Consistent with previous reports of lateralized spatial deficits in young children and adults, the impaired performance in school-aged children with LHD was attributed to pervasive deficits in visual segmentation, and the impaired performance in school-aged children with RHD was attributed to pervasive deficits in visual integration. Study 2 examined the effects of processing demands on attention in a cross-sectional sample of neurologically normal subjects. This study also represented an attempt to simulate a LHD and RHD profile of spatial performance in normal subjects. Subjects participated in a variation of the selective attention and integration tasks, where the orientation of the presented stimuli was manipulated in order to increase or decrease the processing demands of the task. The results of the complexity manipulation suggested that under specified conditions, the attentional abilities of normal subjects could be altered. However, Study 2 failed to simulate a brain injured profile of performance. Taken together, these studies contribute to the further understanding of visual spatial attention in neurologically atypical and typical populations.


Awareness of Deficit After Brain Injury

Awareness of Deficit After Brain Injury
Author: George P. Prigatano
Publisher: Oxford University Press, USA
Total Pages: 285
Release: 1991
Genre: Agnosia
ISBN: 0195059417

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This volume provides, for the first time, multidisciplinary perspectives on the problem of awareness of deficits following brain injury. Such deficits may involve perception, attention, memory, language, or motor functions, and they can seriously disrupt an individual's ability to function. However, some brain-damaged patients are entirely unaware of the existence or severity of their deficits, even when they are easily noticed by others. In addressing these topics, contributors cover the entire range of neuropsychological syndromes in which problems with awareness of deficit are observed: hemiplegia and hemianopia, amnesia, aphasia, traumatic head injury, dementia, and others. On the clinical side, leading researchers delineate the implications of awareness of deficits for rehabilitation and patient management, and the role of defense mechanisms such as denial. Theoretical discussions focus on the importance of awareness disturbances for better understanding such cognitive processes as attention, consciousness, and monitoring.


The Behavioral and Cognitive Neurology of Stroke

The Behavioral and Cognitive Neurology of Stroke
Author: Olivier Godefroy
Publisher: Cambridge University Press
Total Pages: 637
Release: 2007-01-18
Genre: Medical
ISBN: 1139461893

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The care of stroke patients has changed dramatically. As well as improvements in the emergency care of the condition, there have been marked advances in our understanding, management and rehabilitation of residual deficits. This book is about the care of stroke patients, focusing on behavioural and cognitive problems. It provides a comprehensive review of the field covering the diagnostic value of these conditions, in the acute and later phases, their requirements in terms of treatment and management and the likelihood and significance of long-term disability. This book will appeal to all clinicians involved in the care of stroke patients, as well as to neuropsychologists, other rehabilitation therapists and research scientists investigating the underlying neuroscience.


Spatial Neglect

Spatial Neglect
Author: Peter W. Halligan
Publisher: Psychology Press
Total Pages: 172
Release: 2014-01-14
Genre: Psychology
ISBN: 131777471X

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Spatial neglect is a profound clinical problem as well as intriguing scientific problem. In the last ten years, there has been an explosion of interest in this disorder, which as a result is no longer viewed as a single entity, but rather as a number of different disorders. This book is an attempt to bring the reader up to date with the latest advances in understanding neglect, at least insofar as this contributes to better clinical assessment, management and treatment. This is not a book for the specialist researcher in the neuropsychology of neglect and attention. Rather, it is a book aimed at clinicians - student and trained - from all disciplines involved in the assessment, management and treatment of neglect. The book begins with the description of four cases manifesting different types of unilateral neglect. The reader is introduced to different aspects of neglect through these patients. These distinctions include those between personal and extrapersonal neglect, motor versus sensory neglect and many others. The reader is also introduced to other phenomena that are closely related to neglect, including ansognosia and impaired sustained attention. The latest methodes of assessment of neglect are also described, as are methods of treatment, again with reference to the four introductory specimen cases.


Attention Disorders After Right Brain Damage

Attention Disorders After Right Brain Damage
Author: Paolo Bartolomeo
Publisher: Springer Science & Business Media
Total Pages: 197
Release: 2013-12-16
Genre: Medical
ISBN: 1447156498

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This book provides an overview of attentional impairments in brain-damaged patients from both clinical and neuroscientific perspectives, and aims to offer a comprehensive, succinct treatment of these topics useful to both clinicians and scholars. A main focus of the book concerns left visual neglect, a dramatic but often overlooked consequence of right hemisphere damage, usually of vascular origin, but also resulting from other causes such as neurodegenerative conditions. The study of neglect offers a key to understand the brain’s functioning at the level of large-scale networks, and not only based on discrete anatomical structures. Patients are often unaware of their deficits (anosognosia), and often obstinately deny being hemiplegic. Diagnosis is important because neglect predicts poor functional outcome in stroke. Moreover, effective rehabilitation strategies are available, and there are promising possibilities for pharmacological treatments. Attention Disorders After Right Brain Damage is aimed at clinical neurologists, medics in physical medicine and rehabilitation, clinical psychologists and neuropsychologists. It will also be useful for graduate students and medical students who wish to understand the topic of attention systems and improve their knowledge of the neurocognitive mechanisms of attentional deficits. In addition, clinical researchers in neuropsychology and cognitive neuroscience will find in this book an up to date overview of current research dealing with the attention systems of the human brain.